C形小切口治疗腮腺后下极良性肿瘤48例临床分析

Treatment of 48 cases of benign lower posterior tumor of the parotid gland with C-shaped small incision

目的 :总结C形小切口治疗腮腺后下极良性肿瘤的可行性及优点。方法 :对48例位于腮腺后下极良性肿瘤采用C形小切口进行手术,观察其临床效果。结果:48例患者术后均Ι期愈合,随访1~5 a,未见肿瘤复发。腮腺区外形恢复良好,残留腮腺组织有不同程度的分泌功能。结论:C形小切口是治疗腮腺后下极良性肿瘤一种较有效的手术方式,具有减轻手术创伤、缩短手术时间、减小面部瘢痕、减少面神经损伤、降低肿瘤复发率、保存剩余腮腺组织功能等优点。

PURPOSE： To summarize the feasibility and advantages of C-shaped small incision for the treatment of benign lower posterior tumor of the parotid gland. METHODS： Forty-eight cases of benign lower posterior tumor of the parotid gland were treated with C-shaped small incision. The treatment outcomes were recorded and analyzed. RESULTS： The wound healed primarily in all 48 cases. The follow-up period was 1-5 years, and there was no recurrence of tumor and the shape of parotid region recovered well. The residual parotid tissue had certain secretory functions postoperatively. CONCLUSIONS： C-shaped small incision is an effective way of surgical treatment for lower posterior benign tumor of the parotid gland, which can reduce surgical trauma, shorten operation time, reduce facial scars, facial nerve injury, reduce tumor recurrence rate and preserve the function of the remaining parotid tissues.